Lymphocutaneous Sporotrichosis in a Patient with Underlying Systemic Lupus Erythematosus

Authors

  • Asrul Abdul Wahab Department of Medical Microbiology & Immunology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
  • Chuan Hun Ding Department of Medical Microbiology & Immunology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
  • Nurul Hafizah Mohd Yusoff Department of Pathology, Hospital Duchess of Kent, Sandakan, Sabah, Malaysia

DOI:

https://doi.org/10.3329/jom.v21i1.44101

Keywords:

Sporothrix schenckii, sporotrichosis, systemic lupus erythematosus, itraconazole

Abstract

Sporotrichosis is a globally prevalent subcutaneous mycosis commonly acquired through traumatic inoculation. A 66-year-old woman with underlying systemic lupus erythematosus (SLE) presented initially with a painful non-healing nodule on her right thumb. There was no history of traumatic contact with soil, plants or animals. She was started on an antibiotic but developed multiple nodules on her right forearm which appeared to spread proximally. Culture of her skin biopsy specimen yielded Sporothrix schenckii. The lesions were successfully treated with oral itraconazole. In conclusion, a history of traumatic inoculation need not always be present in SLE patients with sporotrichosis and obtaining a laboratory diagnosis is crucial for those presenting with nodular skin lesions that spread proximally

J MEDICINE JAN 2020; 21 (1) : 59-61

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Published

2019-11-17

How to Cite

Wahab, A. A., Ding, C. H., & Yusoff, N. H. M. (2019). Lymphocutaneous Sporotrichosis in a Patient with Underlying Systemic Lupus Erythematosus. Journal of Medicine, 21(1), 59–61. https://doi.org/10.3329/jom.v21i1.44101

Issue

Section

Case Reports